Provider Demographics
NPI:1619454261
Name:HOYLE, KATIE LAUREN (BCBA)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:LAUREN
Last Name:HOYLE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5109 SWEETBRIAR CIR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-4609
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:276-690-9442
Practice Address - Street 1:5109 SWEETBRIAR CIR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-4609
Practice Address - Country:US
Practice Address - Phone:757-651-2655
Practice Address - Fax:276-690-9442
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst